Organization
JANE M HARMON DNP,RN,PMHNP-BC,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE M HARMON APRN-CNP (OWNER)
(580) 236-9886
Entity
Organization
Contact information
Practice address
305 DOGWOOD CT, BROKEN BOW, OK 74728-6118
(580) 236-9886
Mailing address
108 S CENTRAL AVE STE 2, IDABEL, OK 74745-4848
(580) 236-9886
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0105058
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200434630 A
—
OK
Enumeration date
02/19/2016
Last updated
02/19/2016
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